CERTIFICATION OF ENROLLMENT
SECOND SUBSTITUTE HOUSE BILL 1497
Chapter 14, Laws of 2019
2019 REGULAR SESSION
FOUNDATIONAL PUBLIC HEALTH SERVICES
EFFECTIVE DATE: July 28, 2019
Passed by the House March 5, 2019
Yeas 94 Nays 4
Speaker of the House of Representatives
Passed by the Senate March 27, 2019
Yeas 44 Nays 1
President of the Senate
I, Bernard Dean, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is SECOND SUBSTITUTE HOUSE BILL 1497 as passed by House of Representatives and the Senate on the dates hereon set forth.
Chief ClerkChief Clerk
Approved April 3, 2019 3:20 PM
April 4, 2019
Governor of the State of Washington
Secretary of State
State of Washington
SECOND SUBSTITUTE HOUSE BILL 1497
Passed Legislature - 2019 Regular Session
State of Washington
2019 Regular Session
ByHouse Appropriations (originally sponsored by Representatives Robinson, Harris, Cody, Jinkins, DeBolt, Macri, Stonier, Corry, Riccelli, Thai, Kilduff, Stanford, and Kloba; by request of Department of Health)
READ FIRST TIME 03/01/19.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
and 2007 c 259 s 60 are each amended to read as follows:
(1) Protecting the public's health across the state is a fundamental responsibility of the state((. With any new state funding of the public health system as appropriated for the purposes of sections 60 through 65 of this act, the state expects that measurable benefits will be realized to the health of the residents of Washington. A transparent process that shows the impact of increased public health spending on performance measures related to the health outcomes in subsection (2) of this section is of great value to the state and its residents. In addition, a well-funded public health system is expected to become a more integral part of the state's emergency preparedness system.
(2) Subject to the availability of amounts appropriated for the purposes of sections 60 through 65 of this act, distributions to local health jurisdictions shall deliver the following outcomes:
(a) Create a disease response system capable of responding at all times;
(b) Stop the increase in, and reduce, sexually transmitted disease rates;
(c) Reduce vaccine preventable diseases;
(d) Build capacity to quickly contain disease outbreaks;
(e) Decrease childhood and adult obesity and types I and II diabetes rates, and resulting kidney failure and dialysis;
(f) Increase childhood immunization rates;
(g) Improve birth outcomes and decrease child abuse;
(h) Reduce animal-to-human disease rates; and
(i) Monitor and protect drinking water across jurisdictional boundaries.
(3) Benchmarks for these outcomes shall be drawn from the national healthy people 2010 goals, other reliable data sets, and any subsequent national goals))and is accomplished through the governmental public health system. This system is comprised of the state department of health, state board of health, local health jurisdictions, sovereign tribal nations, and Indian health programs.
(2)(a) The legislature intends to define a limited statewide set of core public health services, called foundational public health services, which the governmental public health system is responsible for providing in a consistent and uniform way in every community in Washington. These services are comprised of foundational programs and cross-cutting capabilities.
(b) These governmental public health services should be delivered in ways that maximize the efficiency and effectiveness of the overall system, make best use of the public health workforce and evolving technology, and address health equity.
(c) Funding for the governmental public health system must be restructured to support foundational public health services. In restructuring, there must be efforts to both reinforce current governmental public health system capacity and implement service delivery models allowing for system stabilization and transformation.
NEW SECTION. Sec. 2.
A new section is added to chapter 43.70
RCW to read as follows:
(1) With any state funding of foundational public health services, the state expects that measurable benefits will be realized to the health of communities in Washington as a result of the improved capacity of the governmental public health system. Close coordination and sharing of services are integral to increasing system capacity.
(2)(a) Funding for foundational public health services shall be appropriated to the office of financial management. The office of financial management may only allocate funding to the department if the department, after consultation with federally recognized Indian tribes pursuant to chapter 43.376
RCW, jointly certifies with a state association representing local health jurisdictions and the state board of health, to the office of financial management that they are in agreement on the distribution and uses of state foundational public health services funding across the public health system.
(b) If joint certification is provided, the department shall distribute foundational public health services funding according to the agreed-upon distribution and uses. If joint certification is not provided, appropriations for this purpose shall lapse.
(3) By October 1, 2020, the department, in partnership with sovereign tribal nations, local health jurisdictions, and the state board of health, shall report on:
(a) Service delivery models, and a plan for further implementation of successful models;
(b) Changes in capacity of the governmental public health system; and
(c) Progress made to improve health outcomes.
(4) For purposes of this section:
(a) "Foundational public health services" means a limited statewide set of defined public health services within the following areas:
(i) Control of communicable diseases and other notifiable conditions;
(ii) Chronic disease and injury prevention;
(iii) Environmental public health;
(iv) Maternal, child, and family health;
(v) Access to and linkage with medical, oral, and behavioral health services;
(vi) Vital records; and
(vii) Cross-cutting capabilities, including:
(A) Assessing the health of populations;
(B) Public health emergency planning;
(D) Policy development and support;
(E) Community partnership development; and
(F) Business competencies.
(b) "Governmental public health system" means the state department of health, state board of health, local health jurisdictions, sovereign tribal nations, and Indian health programs located within Washington.
(c) "Indian health programs" means tribally operated health programs, urban Indian health programs, tribal epidemiology centers, the American Indian health commission for Washington state, and the Northwest Portland area Indian health board.
(d) "Local health jurisdictions" means a public health agency organized under chapter 70.05
, 70.08, or 70.46
(e) "Service delivery models" means a systematic sharing of resources and function among state and local governmental public health entities, sovereign tribal nations, and Indian health programs to increase capacity and improve efficiency and effectiveness.
NEW SECTION. Sec. 3. The following acts or parts of acts are each repealed:
(1) RCW 43.70.514
Definitions) and 2007 c 259 s 61;
(2) RCW 43.70.516
Department's duties) and 2007 c 259 s 62;
(3) RCW 43.70.520
(Public health services improvement plan—
Performance measures) and 2007 c 259 s 64 & 1993 c 492 s 467;
(4) RCW 43.70.522
(Public health performance measures—
Assessing the use of funds—
Secretary's duties) and 2007 c 259 s 65; and
(5) RCW 43.70.580
(Public health improvement plan—
Evaluation and report) and 1995 c 43 s 3.
Passed by the House March 5, 2019.
Passed by the Senate March 27, 2019.
Approved by the Governor April 3, 2019.
Filed in Office of Secretary of State April 4, 2019.
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